9 March - 2022has been glaringly exposed, and all of us in health and health care must address the inequality that exists in our society when it comes to health and health care services, disease management, and health outcomes. In practical terms, we will manage weight lost and maintained by signing up for a community weight tracker- a password-protected, accountability tool, where an individual can record their current weight and also make note if they are a part of an employer or community organization team weight loss/maintenance goal. The cumulative community pounds lost is reported by participants and organizations monthly, and a prominent display for the downtown is currently in the making. All resources and the weight tracker are displayed on the Healthy Washington County website where the synergy and energy of the community are magnified and displayed around "Do, Eat, and Believe!" Yes, it is about the pounds lost month by month, year by year, and to ultimately get to one million lost by 2030 in alignment with Healthy People 2030, but it is also about addressing the community health needs assessment data that shows that Washington County is more obese and diabetic than other counties in Maryland (18th place out of 24) and Maryland is more obese and diabetic than other States in the United States ( 36 out of 50). This plan outlines with the Maryland Diabetes Action Plan in knowing an individual's risk for pre-diabetes and opportunity for better diabetic management if already diagnosed with this chronic disease. This is measured by fasting and two-hour postprandial glucose levels, measurement and knowledge of Hgb A1C levels, and by understanding the goals of healthy blood pressure readings and more ideal body weight parameters. This is one chronic disease example of how "Do, Eat, and Believe" can help individual patients achieve success in improving their health journey, thus helping them avoid the high costs of chronic disease and health care. This is an attempt to "quit mopping the floor by turning off the faucet," a phrase attributed to population health expert, David Nash MD. Other attempts to "turn off the faucet" include obtaining complete social determinants of health information (SDOH) and not only identifying the needs of our patients "outside of the walls of the hospital" but linking patients to those services by care manager nurses and trained community health and social workers as well as guaranteeing the referrals were completed. It also means bringing healthy foods and nutrition education to places where it is much easier and less expensive to choose less healthy options. More important, it is a campaign to unite a community and health system around the key mission of improving the health of all people. This is the time for improved health in not only this community but in all communities across our nation! It is a time to put population health into action from theory; it is a time to make primary care and public health the bedrock of our health as a nation. It is the time to address health inequity with intentionality and vigorous response, in really digging into racial and other socioeconomic disparities to better understand how to overcome these barriers. The call to "turn off the faucet and quit mopping up the floor" is the urgent call for action now. It is also an image of hope for better days ahead! Douglas A. Spotts
< Page 8 | Page 10 >